EM Mastery
cardiovascular clinical cases podcast podcast

A Case of Pericarditis with a Twist

Nov 24, 2024

A 38 yo patient with no previous history presents with 3 days of epigastric pain, shoulder pain, shortness of breath and fevers. He presents to the emergency department because he is feeling weak.

An ECG is done and is shown below:

 

 

STEMI vs PERICARDITIS

It is a STEMI if any of the following are true

  1. ST segment depression in any lead except aVR or V1
  2. STE III > II
  3. Horizontal or Convex-up STE
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